| NPI | 1548862873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 142740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 121831) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-11-13 |